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SR0081990
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081990
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Last modified
5/14/2020 2:07:16 PM
Creation date
5/14/2020 1:56:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0081990
PE
4210
STREET_NUMBER
30763
Direction
E
STREET_NAME
TRESSA
STREET_TYPE
LN
City
OAKDALE
Zip
95361
APN
20726028
ENTERED_DATE
4/17/2020 12:00:00 AM
SITE_LOCATION
30763 E TRESSA LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: PERMIT# <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER If inspected MEASUREMENT STANDARDS? CQMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? �N <br /> DISTANCE TO ANY WELLS? <br /> TANK LEVEL AND ORIENTED CORRECTLY? Y N <br /> SANITARY TEES CORRECTLY INSTALLED? YJ N , <br /> CORRECT TYPE OF PIPING? Y 1, N <br /> TANK VENTED? <br /> ANY-TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? rL 2��v � 'y Y N Nk,,A f <br /> DISTANCETO NEAREST LEACH LINE? Y N f <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? Y N <br /> IS D-BOX LEVEL? Y N I CA y <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? Y N � <br /> DISTANCE TO ANY WATER KNELLS? u v �� Y N <br /> DISTANCETONEAREST FOUNDATION? ��— Y N <br /> DISTANCE OF SOIL BARRIER BETWEEN LLS? 1 / Y N <br /> CORRECT DEPTH OF LLTRENCHES? Z' Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? (• 5" i p / Y N <br /> CORRECT WIDTH OF LL TRENCHES? Y N <br /> CORRECT LENGTH OF LL TRENCHES? Y N <br /> CORRECT TYPE OF PIPING? Y N L r �da5 �j <br /> OTHER Y N <br /> SEEPAGE.PITS: p� <br /> DISTANCE TO PROPERTY LINE? 20 Y N <br /> DISTANCE TO ANY WATER WELLS? Z 5 Y N <br /> DISTANCE TO NEAREST FOUNDATION? Y N <br /> DISTANCE OF SOIL BARRIER TO PITS? '< Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? Y N <br /> CORRECTWIDTH? - Y N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? Y N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? Y N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> s <br /> INSPECTED BY: DATE: - 12;v <br /> �U <br />
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